01D2178117 CLIA NUMBER - SPEDALE MD PC

Laboratory Demographics

CLIA Number: 01D2178117

Facility Name: SPEDALE MD PC

Facility Address:
3113 WESLEY WAY SUITE 1
DOTHAN, AL
ZIP 36305
Get Directions

Facility Phone Number: 334 699-5123

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184273096

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2178117
LAB Type	Physician Office
Facility Name	SPEDALE MD PC
Street	3113 WESLEY WAY SUITE 1
City	DOTHAN
State	AL
ZIP	36305
Phone	334 699-5123
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024